Health and Healing in Africa (HIST 188)

 

 

Spring, 2005                                                                                                      Prof. Stephen Volz

Wed 1:10-4:00                                                                         Seitz House, office 6, x5836

Acland seminar room                                                                          Tue 4-5, Wed 10-12, Thu 1-3

HIST18800s05@kenyon.edu                                                                              volzs@kenyon.edu

 

 

description

            This seminar investigates the responses of Africans to various social and physical ills that have plagued them since 1800. From the time of the slave trade through the colonial era up to the current AIDS epidemic, Africans have had to deal with many threats to their well-being. We will explore different ideas of health and study how Africans have used both religion and science in their efforts to preserve and protect themselves from harm. Using a combination of historical studies, literature and eyewitness accounts, we will discuss the personal and social effects of such things as poverty, disease and witchcraft, as well as the connections that might be drawn between them.

 

requirements

            As a foundation seminar, the main academic goal of the class is to introduce students to the skills and techniques that are needed to write a major historical research paper. Rather than complete an entire research paper, however, students will conduct a number of smaller exercises during the course of the semester that each constitute part of producing a larger research paper.

The grade for the class will be determined by the number of points earned out of a possible total of 500, apportioned as follows: discussion questions (40), review essay summary (80), case study comparison (80), topical paper (100), research presentation (40), presentation outline (40), annotated bibliography (40) and participation (80). Students are expected to participate actively and intelligently in discussion, thoughtfully considering the different viewpoints of the authors, the instructor and one another. In order to participate, students will, of course, need to be present, and unexcused absences will result in a lowered participation grade. Each student will be allowed one “free” absence, but any absence after that will result in the loss of 10 points from the participation grade.

            The final letter grade will be determined by the percent of points earned out of the total of 500, according to the following scale:

 

            97-100%   A+             87-89%     B+              77-79%     C+             65-69%     D

            93-96%     A                83-86%     B                73-76%     C                < 65%       F

            90-92%     A-              80-82%     B-              70-72%     C-

 

disability guidelines

            If you have a disability for which you might need some accommodation in order to participate fully in the course, please see the instructor and inform Ms. Erin Salva, the Coordinator of Disability Services, at salvae@kenyon.edu and x5453.

 

readings

The readings for the course are a mix of books, articles and book chapters. The readings listed for each day should be read in preparation for that day’s class. The required books can be purchased in the Kenyon bookstore, and they are:

 

                        Elenore Smith Bowen, Return to Laughter

Steven Feierman and John M. Janzen (eds.), The Social Basis of Health and

            Healing in Africa

John Janzen, The Quest for Therapy in Lower Zaire

Megan Vaughan, Curing Their Ills

Edward Green, Rethinking AIDS Prevention

 

            The other readings are articles and excerpts from various books. Many of them will be available on reserve (designated by [RES] in the schedule) as a photocopy at the library’s circulation desk and as a PDF file in E-Res. The password to access the E-Res materials is afya (the Kiswahili word for “health”). Some of the readings will not be on reserve but are journal articles that are available through the library website at J-Stor [JST], the Electronic Journal Center [EJC] or Academic Search Premier [ASP].

 

 

supplementary resources

            In order to complete some of the written assignments for the class, students will need to learn how to locate other sources of information. Many scholarly articles related to health in Africa can be found in the journals of J-Stor, EJC and ASP. Within J-Stor, relevant journals include those in the fields of African Studies, History, Anthropology and Population Studies. Within EJC and ASP, there are many journals that contain relevant articles, but a few that are closest to the topic of the seminar are Social History of Medicine, Social Science and Medicine and Tropical Medicine and International Health. Further guidance for finding these and other resources will be given throughout the seminar.

 

 

assignments

 

discussion questions:

For those class meetings when there is no other written assignment due, students will be expected to compose three questions that will serve as the basis for discussing the readings for that day. They should be e-mailed to the instructor on the night before the class. 5 points each.

 

review essay summary:

Each student will summarize and be prepared to discuss the main ideas or arguments of a scholarly essay that reviews the study of health and healing in African history. 4-5 pages, due Feb. 2, 80 points.

 

case study comparison:

            Each student will choose a study of healing practices in a different African society and compare it with Janzen’s Quest for Therapy, noting similarities and differences between the findings of the scholars and between the societies that they have studied. 4-5 pages, due Feb. 23, 80 points.

topical paper:

Each student will write a short research paper on a topic related to health and healing in Africa during the colonial era. The topic might be a specific disease such as smallpox, sleeping sickness or tuberculosis; a practice or policy by Europeans regarding a certain health issue; or the health of a specific place or society in Africa during the colonial era. The student should use at least 3 different sources, but they can include ones already assigned in class or found in the book Social Basis of Health and Healing. The best strategy would be to locate the most recent articles or books on the topic and then consult their references to earlier studies. 5-7 pages, due Mar. 30, 100 points.

 

research presentation:

            Each student will give a 15-20 minute presentation, followed by question and discussion, on some topic related to health and healing in Africa. It can be an expansion of the topic that was the subject of the previous paper, or it can be another topic. Students are invited to employ whatever audiovisual aids that they feel would be appropriate in order better to convey their findings and ideas. Given in class on May 4, 40 points.

 

presentation outline:

            Each student will write a detailed outline of their presentation, organizing their information and ideas in a way that will clearly and effectively explain and support their arguments and conclusions. 3-4 pages, handed in at the time of the presentation on May 4, 40 points.

 

annotated bibliography:

            Each student will write a list of the sources that were used in preparing the research presentation. At least 8 sources should be used, and for each source, there should be a paragraph summarizing the main ideas and importance of the source and how it contributed to – or differed from – the conclusions of the student’s research. Handed in at the time of the presentation on May 4, 40 points.

 

 

schedule of topics, readings and assignments

 

 

1/19     introduction to African ideas of health and healing

 

 

1/26     observing health and illness in Tiv society

Elenore Smith Bowen, Return to Laughter

 

 

2/2       the study of health and healing in the history of Africa

            Susan Whyte, “Anthropological approaches to African misfortune, from religion to

                        medicine  [RES]

Gwyn Prins, “But what was the disease? The present state of health and healing in

                        African studies  Past and Present  124 (1989) 159-179  [JST]

            Megan Vaughan, “Healing and curing: issues in the social history and anthropology of

                        medicine in Africa  [RES]

            Steven Feierman & John Janzen, “Introduction”, in Feierman and Janzen, Social Basis

                        of Health and Healing in Africa, 1-19

{ assignment: written summary of the main ideas of one of these essays }

 

 

2/9       early Kongo medicine

            John Janzen, The Quest for Therapy, 1-125

 

 

2/16     Kongo medicine, continued

            John Janzen, The Quest for Therapy, 127-229

 

 

2/23     other cases of early African medicine

            Ismail Abdalla, “Diffusion of Islamic medicine into Hausaland”, in Social Basis, 177-194

            Gloria Waite, “Public health in pre-colonial east Africa”, in Social Basis, 212-231

            Gwyn Prins, “A modern history of Lozi therapeutics”, in Social Basis, 339-365

            Marion Wallace, “ ‘Making tradition’: healing, history and ethnic identity among

                        Otjiherero-speakers in Namibia, c. 1850-1950  Journal of Southern African

                        Studies 29,2 (2003) 355-372  [ASP]

            Susan Whyte, “Penicillin, battery acid and sacrifice – cures and causes in Nyole

                        medicine  [RES]

            { assignment: written comparison of one of these cases with Janzen’s Quest for Therapy }

 

 

3/2       European colonial ideas about health in Africa

Megan Vaughan, Curing Their Ills, 1-54, 155-179

Philip Curtin, “Medical knowledge and urban planning in colonial tropical Africa”, in

            Social Basis, 235-255

Nancy Rose Hunt, “ ‘Le bebe en brouse’: European women, African birth spacing and

colonial intervention in breast feeding in the Belgian Congo”, International Journal of African Historical Studies  21, 3 (1988) 401-432  [JST]

Albert Schweitzer, “First activities in Africa, 1913-1917  [RES]

 

 

 

3/9, 3/16          SPRING BREAK

 

 

 

 

3/23     colonial missionary medicine

            Megan Vaughan, Curing Their Ills, 55-99

            Terence Ranger, “Godly medicine: the ambiguities of medical mission in southeastern

                        Tanzania, 1900-1945”, in Social Basis, 256-282

 

 

3/30     colonial challenges to African health

            Megan Vaughan, Curing Their Ills, 100-154

            { written description of one major case, health issue or disease during the colonial era }

 

 

4/6       professional health care in Africa today

            S. Ogoh Alubo, “Debt crisis, health and health services in Africa  [RES]

            Christine Obbo, “Healing, cultural fundamentalism and syncretism in Buganda”,

Africa 66, 2 (1996) 183-201  [JST]

            F. M. Mburu, “The social production of health in Kenya”, in Social Basis, 409-425

            Carol MacCormack, “Health care and the concept of legitimacy in Sierra Leone”, in

                        Social Basis, 427-436

Benedicte Ingstad, “Healer, witch, prophet or modern health worker? The changing role

                        of Ngaka ya Setswana  [RES]

 

4/13     resurgence of witchcraft

            Peter Geschiere, “Witchcraft and sorcery  [RES]

Adam Ashforth, “The Soweto witch project”, Transition  9, 1 (2000) 22-51  [EJC]

            Misty Bastian, “ ‘Bloodhounds who have no friends’: witchcraft and locality in the

                        Nigerian popular press  [RES]

 

 

4/20     AIDS epidemic: Western viewpoints

            Johanna McGeary, “Death stalks a continent  [RES]

John Caldwell, “Rethinking the African AIDS epidemic”, Population and Development

                        Review  26, 1 (2000) 117-135  [JST]

            Edward Green, Rethinking AIDS Prevention, 3-137

           

 

4/27     AIDS epidemic: African examples

            Edward Green, Rethinking AIDS Prevention, 139-252, 273-331

            David MacDonald, “Notes on the socio-economic and cultural factors influencing the

transmission of HIV in Botswana  [RES]

            Quentin Gausset, “AIDS and cultural practices in Africa: the case of the Tonga

                        (Zambia)” Social Science and Medicine 52, 4 (2001) 509-518  [ASP]

 

 

5/4       research presentations


reserve readings

 

Susan Whyte, “Anthropological approaches to African misfortune, from religion to medicine”,

in Culture, experience, and pluralism : essays on African ideas of illness and healing,

ed. Anita Jacobson-Widding, David Westerlund (Stockholm: Uppsala, 1989) 289-301

 

Megan Vaughan, “Healing and curing: issues in the social history and anthropology of

            medicine in Africa  Social History of Medicine  7, 2 (1994) 283-295

 

Susan Whyte, “Penicillin, battery acid and sacrifice – cures and causes in Nyole medicine” 

            Social Science and Medicine  16, 23 (1982) 2055-2064

 

Albert Schweitzer, “First activities in Africa, 1913-1917”, from Out of My Life and Thought, [tr.

            C. T. Campion], (New York: Henry Holt, 1949) 138-162

 

S. Ogoh Alubo, “Debt crisis, health and health services in Africa”, Social Science and Medicine

            31, 6 (1990) 639-648

 

Benedicte Ingstad, “Healer, witch, prophet or modern health worker? The changing role of

            Ngaka ya Setswana”, in Culture, experience, and pluralism : essays on African ideas of

            illness and healing, ed. Anita Jacobson-Widding, David Westerlund (Stockholm: Uppsala,

            1989) 247-276 

 

Peter Geschiere, “Witchcraft and sorcery”, in John Middleton (ed.), Encyclopedia of Africa

            South of the Sahara  (New York: Charles Scribner’s Sons, 1997) vol. 4, 376-381

 

Misty Bastian, “ ‘Bloodhounds who have no friends’: witchcraft and locality in the

            Nigerian popular press” , in Jean and John Comaroff (eds.), Modernity and its

            Malcontents (Chicago: University of Chicago Press, 1993) 129-166

 

Johanna McGeary, “Death stalks a continent  Time (Feb. 12, 2001) 36-54

 

David MacDonald, “Notes on the socio-economic and cultural factors influencing the

transmission of HIV in Botswana”, Social Science and Medicine  42, 9 (1996) 1325-1333